Related Experiment Video

Updated: May 26, 2026

Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure
05:16

Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure

Published on: June 10, 2025

The Factors Associated With Readmission in One Year Among Patients With Chronic Heart Failure: A Retrospective Cohort

Zheng Feng1, Hui Mengyuan1, Cheng Lin2

  • 1Department of Cardiovascular Medicine, Nursing Department, The Third Xiangya Hospital, Central South University, Changsha, CHN.

Cureus
|May 25, 2026
PubMed

Insights

Low medication literacy is linked to higher hospital readmission rates in chronic heart failure (CHF) patients. Improving medication understanding can help reduce readmissions for CHF, improving patient outcomes.

Area of Science:

  • Cardiology
  • Public Health
  • Health Literacy

Background:

  • Chronic heart failure (CHF) is a significant cause of hospital readmissions.
  • Understanding factors influencing readmission is crucial for effective patient management.
  • Medication literacy's role in CHF readmission requires further investigation.

Purpose of the Study:

  • To identify factors associated with one-year hospital readmission in CHF patients.
  • To specifically examine the association between medication literacy and readmission risk.
  • To inform interventions for reducing CHF readmissions.

Main Methods:

  • Retrospective cohort study of 480 CHF patients from three tertiary hospitals in China.
  • Univariate analysis using Chi-squared or Fisher's exact tests.
  • Binary logistic regression to determine independent predictors of one-year all-cause readmission.

Main Results:

  • 58.1% of CHF patients experienced all-cause readmission within one year.
  • Lower medication literacy was an independent risk factor for readmission (OR=0.411).
  • Increased readmission risk was associated with longer disease duration (≥10 years), myocardial infarction, higher NYHA class (III/IV), and HFmrEF.

Conclusions:

  • Lower medication literacy is a significant, modifiable risk factor for CHF readmission.
  • Disease duration, comorbidities like myocardial infarction, and disease severity (NYHA class, HFmrEF) also predict readmission.
  • Interventions targeting medication literacy may reduce hospital readmissions in CHF patients.

Keywords:
chronic heart failuredisease durationef: ejection fractionmedication literacyrate of readmission

Related Concept Videos

Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
Heart Failure I: Introduction01:27

Heart Failure I: Introduction

Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
Heart Failure III: Clinical Manifestations01:26

Heart Failure III: Clinical Manifestations

Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
Heart Failure IV: Classification and Diagnostic Evaluation01:30

Heart Failure IV: Classification and Diagnostic Evaluation

Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...